Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05116 | Date 11/09/2023 |
| Token No | SM/22-23/12971 11/09/2023 | Serial | 051 |
| Patient Name | Baby AZFARIN PARVEEN | Contact No | 8653131130 |
| Address | CHELE KHANA ROAD SERAMPORE 712203 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||